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TRANSITIONING INTO THE COMMUNITY

TRANSITIONING INTO THE COMMUNITY. South Community Health Centre Vancouver Community, VCH. Transitioning into the Community. Who are we? Community Physiotherapists Where are we from? South Community Health Centre in Vancouver. PDSA Idea. To collect data on post-op pain & bowel management.

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TRANSITIONING INTO THE COMMUNITY

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  1. TRANSITIONING INTO THE COMMUNITY South Community Health Centre Vancouver Community, VCH

  2. Transitioning into the Community Who are we? • Community Physiotherapists Where are we from? • South Community Health Centrein Vancouver

  3. PDSA Idea • To collect data on post-op pain & bowel management

  4. PDSA:Plan What? • Review pain & bowel management following THR & TKR Where? • In client’s home When? • During the first PT visit

  5. PDSA: Do Data collected • Hospital discharged from • Type of surgery & date performed • Date of discharge • Date of first HCPT visit

  6. PDSA: Do Data collected • Dr’s orders for analgesics on discharge • What analgesics client is actually taking • Pain scale at rest &on activity

  7. PDSA: Do Data collected • Bowel management instructions provided to client on discharge from hospital • Client’s current bowel management • Last bowel movement

  8. PDSA: Study Results • Analgesics prescribed by surgeons varied • Some clients told to take analgesics regularly; some told to take them as needed

  9. PDSA: Study Results • Pain at rest: 0 to 7 out of 10 • Pain on activity: 0 to 8 out of 10

  10. PDSA: Study Results • Only one client reported being given any information on bowel management • Last bowel movement varied from same day to two days prior • Bowel management varied

  11. PDSA: Act What will we do next? • Try to improve pain & bowel management of clients by 7 days post-op

  12. Next PDSA: Plan • Provide structured teaching on pain & bowel management • Provide written information on bowel management • Ask clients to keep pain & bowel diaries

  13. Transitioning into the Community • Questions? • Comments?

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